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' BLAU Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> I433 North Third ANenue' ni 2 L�Phoenix,Arizona 85003 Well No <br /> 11nz-1zs-o7o7 Well Type ■ Monitor El Remedial -VE AS <br /> • Atte ID U-Haul #709-50 ❑ Other <br /> ' Project No 002.70950-03 Well Materia[ ■ PVC ❑ St Steel <br /> Recorded By B McDaniel ❑ Other <br /> ' WELL PURGING <br /> Purge Volume Purge Date =td7 Purge Method <br /> Casing Diameter(D)in inches ❑ Bailer-Type <br /> ' �N 2-inch ❑ 4-inch ❑ 6-inch ❑ Other �Submersible- [:] Whale <br /> Total Depth of Casing(TD in feet BTOC) S Other 2--" .t K <br /> Water Level Depth(WL in feet BTOC) 2- . o I Pump Intake Setting <br /> ' Humber of Well Volumes(#Vols)to be Purged 5-3.Z n 0! <br /> El Near Bottom [:1 Near Top ® Other <br /> 3 El 4 ❑ 5 El Other Depth in feet(BTOC) -L- g <br /> ' Purge Volume Calulation Screen Interval in Feel(BTOC) from <br /> 2 to <br /> (�� �Z' 9 X Z X x 0 0409 = 1 gallons <br /> TD(feat) WL(feet) p(inches) #Vals Calculated Purge Volume <br /> ' Pump Time IPurge Rate I JACtual Purge Volume <br /> Start 5.7-3 -S;top Time Elapsed Initial qpm 7-3 gallons <br /> ' <br /> Field Parameter Measurements Final qpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 Temp nkf Notes <br /> ' Purged (umhoslc—) (umhoslcm) f <br /> ]3 z S 3• R0D a2 2-z.< v.-5- <br /> �3 zb.Lts 3' 00 �� qZ 7) ZZZ.0 o,s <br /> 13 29 ?_r�) /3 S'4Y 17 95f zz,Z) <br /> f3 3,c�.0 /S-a 8"72- 9 > fu zz.o d,} <br /> 13� 3 -2-30 95-9 9/ <br /> ' Observations During Purging(well Condition Turbidity Color Odor,etc <br /> Purge Water Storage/Disposal ❑Drum(s), Number [] Storm Sewer ❑ Sanitary Sewer <br /> ' Other <br /> WELL SAMPLING <br /> Sampled By B McDaniel Isamoing Date 7 /L v/ Samp`lmg Time 1_4? <br /> ' Sampling Method Water Level Before Sampling(in feet BTOC) 0 l0 496' <br /> M Bailer-Type 3 ft DISRosable ❑ Same as Above <br /> ' ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> ' Sample No Containers Vol,# Analysis Preservative Lab Comments <br /> AOL 1rt! 5 2_E J <br /> Other Notes .L <br /> 1 <br />